Healthcare Provider Details

I. General information

NPI: 1144296195
Provider Name (Legal Business Name): RODNEY ALAN SMALL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 SOUTH MILL STREET
NASHVILLE IL
62263-0027
US

IV. Provider business mailing address

1527 S MILL ST P.O. BOX 27
NASHVILLE IL
62263-2072
US

V. Phone/Fax

Practice location:
  • Phone: 618-327-3224
  • Fax: 618-327-8479
Mailing address:
  • Phone: 618-327-3224
  • Fax: 618-327-8479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: